HomeMy WebLinkAbout197793 05/26/2011 a CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $367.64
ti CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 197793
CHECK DATE: 5126/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -60349 183.82 TIRES TUBES
2201 4232000 5802 -60611 183.82 TIRES TUBES
OR UEST
�N� R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 64O8O
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTIONI!!
58O2-6O349 207O
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED o, THIS RECEIPT SEE mmouEST STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
�CITY OF CARMEL �'ITY OF CARMEL
�34OO W 131ST f W 131ST\
|�CARMEL, IN 46O74 �CARMEL, IN 46O74
58O2-6O349 2O7O O5/11/11 JEFF JIM CHARGE
U b Q (q'/N
WARRANTY DISCLAIMER: The manufacu—'s gwaan
NT j, B J f U W4. 0 r�$1 1t N u;Vhe o h rw;W tothe sale of all gZ�ds. HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
UVR Z A FUR Seller does not out or ra my person to grant my warranty or assurne any liability by Seller.
INCLUDING ANY IMPLIED WARRANTY OF MERC FOR TICMA OSE. It
CASH HI R EIFUND
Customer Name
Customer Phone
Customer Mailing Address
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
ORQUEST
N�� R T AUTO SUPPLY, INC PAGE 1
MAIN STREET REF# 64383
AUTO PARTS SHERIDAN,.IN 46069
(317>758-4456
SERVING A WORLD IN MOTION"!
58O2-6O611 20 7O
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED o, THIS RECEIPT SEE omouen STORE FOR DETAILS or THIS COAST TO COAST uo^x^NTEs.
F7C OF CARMEL. "I"Y OF Cf.RMEL
-1 F-
WARRANTY DISC MER: The rparufayer'. �n lh he a la of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
LAI M A I li ty wwr- F oes not authorize my person to grant any warranty or assurne my liability by Seller.
INCLUDING ANY IMPUED WARRANTY OF MERCHANT Bill A PARTIMI A A rJ 'a I "-red
CASH REFUND
Customer Name
Customer Phone j
Customer Mailing Address
Original Cash Sale Invoice
Customer's Signature
Counterpro "s Signature
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$367.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 5802 -60349 42- 320.00 $183.82 1 hereby certify that the attached invoice(s), or
2201 5802 -60611 42- 320.00 $183.82
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
T�uY5da May 19, 2011
j
Street Commissi n
U G v 1 II 111
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/11/11 5802 -60349 $183.82
05/16/11 5802 -60611 $183.82
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer